Remote Medical Coding Quality Reviewer (Pro Fee)

US104 Guidehouse Managed Services LLC; Washington (District of Columbia); Hybrid; USD 56,000 - 94,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

401(k) Retirement Plan

Paid Holidays

Bonus potential

Tuition Reimbursement

Skills Development & Certifications

Employee Referral Program

Community Outreach

Job summary

Guidehouse is seeking a Coding Quality Reviewer to audit medical record documentation and coding accuracy across the coding team. You will work under the Pro Fee Quality Review Supervisor, applying ICD-10-CM, CPT, and HCPCS standards in multiple specialties.

Required are a high school diploma, US citizenship, and a coding credential (RHIA, RHIT, CCS, CPC, CIC, COC) with 5+ years of coding or review experience; Excel skills are a plus.

Qualifications

• High school diploma or equivalent; US citizenship required.
• Must hold one coding credential (RHIA, RHIT, CCS, CPC, CIC, COC).
• 5+ years of coding or review experience.

Responsibilities

• Review medical record documentation, coding and abstracting accuracy using ICD-10-CM, CPT and HCPCS.
• Ensure quality across specialties including Orthopedics, Transplant, Neuro/Spine, Neuro/Cranial, Trauma, Maxillofacial, Dental Radiology, Interventional Radiology, Injection and Infusion, Radiation Oncology.
• Report to the Pro Fee Quality Review Supervisor and align with client policies.

Skills

ICD-10-CM

CPT

HCPCS

Excel

Independent work

Education

High School Diploma or Equivalent

RHIA

RHIT

CCS

CPC

CIC

COC

Tools

Excel

Job description

Guidehouse is seeking a Coding Quality Reviewer to audit medical record documentation and coding accuracy across the coding team. You will work under the Pro Fee Quality Review Supervisor, applying ICD-10-CM, CPT, and HCPCS standards in multiple specialties.

Required are a high school diploma, US citizenship, and a coding credential (RHIA, RHIT, CCS, CPC, CIC, COC) with 5+ years of coding or review experience; Excel skills are a plus.